# CSB OF EAST CENTRAL GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Friendship Community Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447326541
- **Authorized official:** WANDA L. JESSIE (BILLING MANAGER)
- **Authorized official phone:** (706) 432-4858

## Contact information

- **Practice address:** 1720 CENTRAL AVE, AUGUSTA, GA 30904-5737
- **Practice address phone:** (706) 736-4339
- **Practice address fax:** (706) 432-3780
- **Mailing address:** 1720 CENTRAL AVE, AUGUSTA, GA 30904-5737
- **Mailing address phone:** (706) 736-4339
- **Mailing address fax:** (706) 432-3780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | GA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020